Okada Hiromi, Maru Mitsue, Maeda Rumi, Iwasaki Fuminori, Nagasawa Masayuki, Takahashi Miyako
Author Affiliations: Graduate School of Health Care Sciences, Tokyo Medical and Dental University (Mrs Okada, Prof Maru, and Mrs Maeda); Division of Hemato-oncology Regenerative Medicine, Kanagawa Children's Medical Center, Yokohama (Dr Iwasaki); Department of Pediatrics, Tokyo Medical and Dental University (Dr Nagasawa); and Division of Cancer Survivorship Research, National Cancer Center, Tokyo (Dr Takahashi), Japan.
Cancer Nurs. 2015 Jan-Feb;38(1):23-30. doi: 10.1097/NCC.0000000000000123.
Family members of children with cancer experience various long-term effects as a result of cancer diagnosis and treatment. Therefore, comprehensive and long-term support is needed. As the employment rate of women has increased in recent years, support for working mothers with children diagnosed with cancer is also required.
We investigated the following issues and relevant changes that working mothers of children diagnosed with cancer must deal with: (1) work change, (2) stress, (3) social support, (4) work motivation, and (5) employment status after diagnosis.
A cross-sectional exploratory study design was used. Data were collected from 62 mothers of children who were diagnosed with cancer using self-report questionnaires.
Of the 32 mothers who worked at the time of diagnosis, 10 continued to work, 12 took an extended leave, and 10 quit working, and 70% lost motivation for work following diagnosis. Half of mothers who continued to work during treatment reported financial reasons.
These findings indicate that mothers who quit work following diagnosis did not initially consider a long leave of absence. Even mothers who continued to work during treatment desired a long leave of absence to care for their children.
Nurses should provide mothers with explanations of the prospects after the completion of cancer treatment and determine their expectations for their lifestyle and work during treatment. We recommend that nurses confirm mothers' willingness to take a long leave of absence from work and give relevant advice about seeking financial assistance.
癌症患儿的家庭成员会因癌症诊断和治疗而经历各种长期影响。因此，需要全面和长期的支持。近年来，随着女性就业率的提高，对子女被诊断患有癌症的职业母亲也需要给予支持。
我们调查了被诊断患有癌症的患儿的职业母亲必须应对的以下问题及相关变化：（1）工作变动；（2）压力；（3）社会支持；（4）工作动力；（5）诊断后的就业状况。
采用横断面探索性研究设计。使用自填问卷从62名癌症患儿的母亲那里收集数据。
在诊断时工作的32名母亲中，10人继续工作，12人休长假，10人辞职，70%的人在诊断后失去了工作动力。在治疗期间继续工作的母亲中有一半表示是出于经济原因。
这些发现表明，诊断后辞职的母亲最初并未考虑长期休假。即使是在治疗期间继续工作的母亲也希望能休长假来照顾孩子。
护士应向母亲们解释癌症治疗结束后的前景，并确定她们在治疗期间对生活方式和工作的期望。我们建议护士确认母亲们休长假的意愿，并就寻求经济援助提供相关建议。
